BOOKING FORM 2012

PLEASE COMPLETE ON-SCREEN, PRINT AND SEND TO:
BAICHAL
10 CANONS CLOSE, BISHOPSTEIGNTON
TEIGNMOUTH, DEVON TQ14 9RU

I/We wish to book a holiday in a from to
and declare that I/we have read and accept the terms set out in the Booking Conditions and the Tariff,
copies of which we have received, (or accessed from the Baichal website), in respect of the names on this form,
to be bound by them and make all payments in relation to them.
Signature..........................................................................Date...............................................
Before completing this booking form it is advisable to confirm availability.
TEL.: 01626 773737

Title: First Name: Surname:
Address 1: Address 2:
Town/City: County: Post Code:
Home Tel. No. Work Tel/Mobile No.
Email

 
NAMES OF ALL OTHER PERSONS IN YOUR PARTY
1: Age:
2: Age:
3: Age:
4: Age:
5: Age:
6: Age: 		 

EXTRAS and SPECIAL REQUIREMENTS -
Please tick as required (See Tariff)

COT
HIGH CHAIR
WHEELCHAIR RAMP (No charge) Use at users risk
Vehicle reg. nos: 1: 2:

OFFICIAL USE ONLY


Deposit Received ....................

Balance £..............Due...........

Balance Received.....................

Authorisation No(s).................

.........................................

 

 

 

HIRE OF CHALET................................ £
HIRE OF VILLA ....................................£
COT..........................................................£
HIGH CHAIR .........................................£

TOTAL... £
DEPOSIT ENCLOSED.......£
BALANCE £
Balance due 42 days before commencement of holiday

SOLO VISA DELTA   UK MAESTRO/SWITCH

COMPLETE ALL SECTIONS ACCORDING TO CARD TYPE ...Please debit my
BANK - please state name (NatWest, Barclays, Lloyds TSB etc)
Type of card Card Number
Valid from Expires end Sec. code Issue No (If applicable)
With the sum of £
Signature...................................... Print name as on card...................................

Cardholders name, address and tel. no. if different to lead name on booking form on reverse of this form.

.............................................................................................................................................................
Please sign it and send with your deposit.